DRAFT Domain Allocation Notice

[This form is subject to revision.]

MLS Domains Association uses this notice to (a) inform your MLS of the results of its domain/address claims and
(b) invoice your MLS for the domain claim fees due to the Association’s escrow agent, if any.

Within 15 days after the “Notice Date” below, you must fill out and return this form with a check made out to
“SunTrust Bank as Escrow Agent for MLS Domains Association” to the address below made out in the amount
specified below, according to the terms of the .MLS Policy Guide.

Notice Date: ________________________________________

Member MLS Corporate Name (“Claimant”): ___________________________________________________________

Claim Phase: _______________________________________ Email: ______________________________________

Amount Due $ ______________________________________

(Calculated by subtracting any Founder Claim Fee Credit from the product of the # domains in Section A times $800 per domain)

A. Addresses/Domains Allocated to your MLS

The Association has allocated following addresses/domains to your MLS.

[List domains here]

B. Addresses/Domains Also Claimed by Other Members

One or more other Members of the Association claimed the following addresses/domains, which your MLS also claimed.
The other MLS(s) claiming each address/domain name are identified here. The Association encourages you to negotiate
a resolution with them; if you cannot do so before ___________ [30 days after the notice date], the addresses/domains
will go to auction according to the procedures set out in the .MLS Policy Guide.

[Domain]

Also claimed by: [Other MLS name and contact information]

[Domain]

C. Addresses/Domains Rejected for Failure to Comply with Policies

The following addresses/domains have not been allocated to your MLS because they do not comply with the policies set
out in the .MLS Policy Guide. Your MLS may appeal this determination according to the procedures set out in Section 2.8
of the .MLS Policy Guide.

[Domain]

Claim denied because: [Explanation]

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 [Domain]

Claim denied because: [Explanation]

Member acknowledgement
You must sign and return this form to MLS Domains Association within 15 days after the notice date to acknowledge
receipt of this form and its contents.

_______________________________________________________________________________________________
Signature of officer Print Name Date

Fax, scan/email, or mail this form to

MLS Domains Association

P.O. Box 3720
Minneapolis, MN 55403
claimdomain@MLSDomains.org
Fax: (612) 486-8705

Questions? Contact info@MLSDomains.org.

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